Clinical conversations around trans sex have, for almost a century, been structured around a failure to view trans bodies as capable of desirability and desire-ability, a focus on reduced function and sexual tradeoffs, and lack of attention to pleasure.

references

These are narratives that have been featured in the clinical literature since practically the advent of gender-affirmative clinical practice. […T]he “unimaginability” of trans bodies; trans narratives as ones defined by trauma and oppression; a discourse centered on sexual losses; and a clinical focus on sexual function.

Trans Sex, Lucie Fielding